Healthcare Provider Details

I. General information

NPI: 1134370323
Provider Name (Legal Business Name): SMART CHOICE INVESTMENTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2008
Last Update Date: 07/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7121 MAGNOLIA AVE STE 3D
RIVERSIDE CA
92504
US

IV. Provider business mailing address

7121 MAGNOLIA AVE STE 3D
RIVERSIDE CA
92504-3805
US

V. Phone/Fax

Practice location:
  • Phone: 516-824-8389
  • Fax: 888-216-6162
Mailing address:
  • Phone: 951-682-4838
  • Fax: 888-216-6162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number550001800
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MAURICE DUANE GEYEN
Title or Position: PRESIDENT
Credential:
Phone: 951-682-4838